Camille Smith DO PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

O-0503 Issued in ID

Legal business name

CAMILLE SMITH DO PA

Practice address

370 N Haven Dr Ste 101
Twin Falls, ID 83301-6023

Phone

(208) 732-2200

Fax

(208) 732-2201

NPI assigned

Feb 4, 2015

Last updated

Jun 23, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rochele Lierman

Title

Manager

Phone

(208) 732-2200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Audra Anne Hazel, FNP-BC

  • Family Nurse Practitioner
  • Twin Falls, ID
  • NPI 1336886324
  Medicare reassignment Care Compare group NPD
• Camille Smith, D.O.

  • Family Medicine Physician
  • Twin Falls, ID
  • NPI 1598846826
  Medicare reassignment Care Compare group
• Carisa Dawn Elliott, FNP-C

  • Family Nurse Practitioner
  • Twin Falls, ID
  • NPI 1518515949

  Family Medicine

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750636800000",
    "number": "1407246929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 N HAVEN DR STE 101",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016023",
            "telephone_number": "208-732-2200",
            "fax_number": "208-732-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 N HAVEN DR STE 101",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016023",
            "telephone_number": "208-732-2200",
            "fax_number": "208-732-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMILLE SMITH DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-04",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A",
        "authorized_official_last_name": "LIERMAN",
        "authorized_official_first_name": "ROCHELE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "208-732-2200"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "O-0503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Call, LCSW
• Stephanie Lynn Callen, LSW
• Emmalee Calvert
• Erica Cameron, NP
• Tristin Cameron
• Reena M Camoens, MD
• Stefani Lynne Campa-Macfee
• Logan Matthew Campbell, PHARMD
• Madison Christine Campbell, MSN, APRN, PMHNP-BC
• Leanne Campeau, PTA

• Family Medicine Physician in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.